Skip to content

Effect of Tepotinib on the PK of the P-gp Substrate Dabigatran Etexilate

Phase I, Open-label, Single Sequence, Two-Period Study to Evaluate the Effect of Tepotinib on P-gp by Investigating the PK of the P-gp Probe Substrate Dabigatran Etexilate in Healthy Subjects

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03492437
Enrollment
20
Registered
2018-04-10
Start date
2018-05-17
Completion date
2018-08-27
Last updated
2023-08-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy

Keywords

Non-small cell lung cancer (NSCLC), P-glycoprotein, Tepotinib, Dabigatran Etexilate

Brief summary

This study investigated the effect of Tepotinib on the pharmacokinetics (PK) of the p-glycoprotein (P-gp) probe substrate Dabigatran etexilate.

Interventions

DRUGDabigatran Etexilate

Participants received single oral dose of Dabigatran etexilate on Day 1 of Treatment period 1 and co-administration of Dabigatran with Tepotinib on Day 8 of Treatment period 2.

DRUGTepotinib

Participants received single oral dose of Tepotinib for 8 days in Treatment period 2.

Sponsors

Merck KGaA, Darmstadt, Germany
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 44 Years
Healthy volunteers
Yes

Inclusion criteria

* Healthy participants of non-child bearing potential * Body weight between 50 to 100 kilogram (kg) * Body mass index (BMI) between 18.5 and 29.9 kilogram per meter square (kg/m\^2) * A male participant must agree to use and to have his female partner of childbearing potential to use highly effective method of contraception * Participant must have given written informed consent before any study-related activities * All values for hematology, coagulation, and biochemistry tests of blood and urinalysis are within the normal range. Minor (solitary) non-clinically relevant deviation(s) are allowed as judged by the Investigator * Other protocol defined inclusion criteria could apply

Exclusion criteria

* Participation in a clinical study within 60 days prior to first drug administration * Whole blood donation or loss of \> 450 milliliter (mL) within 60 days prior to first drug administration * Any surgical or medical condition, or any other significant disease that could interfere with the study objectives, conduct, or evaluation * Supine systolic blood pressure (SBP) greater than (\>) 140 millimeter of mercury (mmHg) or less than (\<) 90 mmHg, diastolic blood pressure (DBP) \> 90 or \< 50 mmHg, and pulse rate \> 90 or \<50 beats per minute (bpm) at Screening and at admission on Day-1. * 12-Lead electrocardiograms (ECG) showing a corrected QT interval per Fridericia's formula (QTcF) \> 450 milliseconds (ms), PR \> 215 ms, or QRS \> 120 ms (at Screening) * Creatinine clearance estimated glomerular filtration rate (eGFR) \< 90 milliliter per minute (mL/min) (at Screening) * Participants with gall bladder removal or other relevant surgery of gastrointestinal tract * History of any malignancy * History of epilepsy * Ascertained or presumptive allergy/hypersensitivity to the active drug substance and/or excipients * Participants who in the Investigator's judgment were perceived as having an increased risk of bleeding * Positive screen for alcohol or drugs of abuse (at Screening and Day -1) * Positive screen for hepatitis B surface antigen (HBsAg), hepatitis C virus antibody (anti-HCV), and human immunodeficiency virus 1 and 2 antibodies (HIV1/HIV2 antibodies) (at Screening) * Excessive consumption of xanthine-containing food or beverages before study drug administration until collection of last pharmacokinetic (PK) sample in each period (at Screening and Day -1) * Receipt of any prescription or nonprescription medication within 14 days or 5 half-lives, before study drug administration * Smoker or former smoker who stopped smoking less than 6 months before the time of the Screening Visit * Intake of grapefruit, Seville orange, cranberry or juices of these 3 fruits, or St. John's Wort, from 14 days prior to Day -1 * Inability to communicate or cooperate with the Investigator * Other factors, which in the opinion of the Investigator may interfere with study conduct (at Screening and Day -1 of first Period only) * Legal incapacity or limited legal capacity * Participants kept in detention * Other protocol defined

Design outcomes

Primary

MeasureTime frameDescription
Area Under Plasma Concentration-time Curve From Time Zero to Last Sampling Time (Tlast) at Which the Concentration is at or Above the Lower Limit of Quantification (AUC0-t) of Total DabigatranPre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 and 72 hours Post-dose on Day 1 and Day 8AUC0-t was calculated according to the mixed log linear trapezoidal rule.
Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of Total DabigatranPre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 and 72 hours Post-dose on Day 1 and Day 8AUC0-inf was calculated as AUC0-t plus (+) AUCextra. AUCextra represents the extrapolated part of AUC0-inf calculated by Clastpred/Lambda z, where Clastpred is the predicted plasma concentration at the last sampling time point, calculated from the log-linear regression line for Lambda z determination at which the measured plasma concentration is at or above Lower limit of quantification (LLOQ).
Maximum Observed Plasma Concentration (Cmax) of Total DabigatranPre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 and 72 hours Post-dose on Day 1 and Day 8Cmax was obtained directly from the concentration versus time curve.

Secondary

MeasureTime frameDescription
Time to Reach Maximum Plasma Concentration (Tmax) of Total DabigatranPre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 and 72 hours Post-dose on Day 1 and Day 8Tmax is time to reach maximum observed plasma concentration obtained directly from the concentration versus time curve.
Elimination Half Life (t1/2) of Total DabigatranPre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 and 72 hours Post-dose on Day 1 and Day 8Elimination Half Life (t1/2) was defined as the time required for the concentration or amount of drug in the body to be reduced by one-half.
Apparent Clearance (CL/f) of Total DabigatranPre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 and 72 hours Post-dose on Day 1 and Day 8Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed.
Apparent Volume of Distribution During Terminal Phase (Vz/f) of Total DabigatranPre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 and 72 hours Post-dose on Day 1 and Day 8Volume of distribution was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. Vz/f after oral dose was influenced by the fraction absorbed.
Percentage of Area Under the Plasma Concentration-Time Curve From Time Tlast Extrapolated to Infinity (AUC0-inf) Obtained by Extrapolation (AUCextra%) of Total DabigatranPre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 and 72 hours Post-dose on Day 1 and Day 8The AUC from time tlast extrapolated to infinity given as percentage of AUC0-inf. AUCextra% = (AUCextra /AUC0-inf)\*100.
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEsScreening up to Day 4 in Period 1; Day 1 up to Day 15 in Period 2Adverse event (AE) was defined as any untoward medical occurrence in participants which does not necessarily have causal relationship with treatment. AE was any unfavorable and unintended sign (including abnormal laboratory finding), symptom/disease temporally associated with use of medicinal product, whether/not considered related to medicinal product. A serious adverse event (SAE) was AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial/prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. TEAE is defined as AEs starting/worsening after first intake of the study drug. TEAEs included both serious TEAEs and non-serious TEAEs.
Number of Participants With Clinically Significant Changes in Laboratory ValuesScreening up to Day 4 in Period 1; Day 1 up to Day 15 in Period 2Number of participants with clinically significant change in laboratory values were reported. Clinical significance was decided by the investigator. Laboratory investigation included hematology, biochemistry, virology, drugs of abuse, hormones, urinalysis, and coagulation.
Number of Participants With Clinically Significant Changes in 12-lead Electrocardiogram (ECG) FindingsScreening up to Day 4 in Period 1; Day 1 up to Day 15 in Period 2Number of participants with clinically significant change in 12-lead ECG were reported. Clinical significance was decided by the investigator. The 12-lead ECGs were recorded after the participant have rested for at least 5 minutes in supine position.
Number of Participants With Clinically Significant Changes in Vital SignsScreening up to Day 4 in Period 1; Day 1 up to Day 15 in Period 2Number of participants with clinically significant change in vital signs were reported. Clinical significance was decided by the investigator. Vital signs included body temperature, blood pressure, and pulse rate.

Countries

Germany

Participant flow

Pre-assignment details

Overall, 39 participants were screened in this study. Out of which, 20 participants received Dabigatran and Tepotinib + Dabigatran treatment.

Participants by arm

ArmCount
All Participants
All participants who received a single oral dose of 75 mg dabigatran etexilate capsule in treatment period 1 and 500 mg tepotinib (500 mg) film coated tablet from Day 1 to 8 along with 75 mg dabigatran etexilate Capsule in treatment period 2 under fed state.
20
Total20

Withdrawals & dropouts

PeriodReasonFG000FG001
Treatment Period 2Withdrawal by Subject01

Baseline characteristics

CharacteristicAll Participants
Age, Continuous33 Years
STANDARD_DEVIATION 8.1
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
20 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
1 Participants
Race (NIH/OMB)
Black or African American
0 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
19 Participants
Sex: Female, Male
Female
1 Participants
Sex: Female, Male
Male
19 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 200 / 20
other
Total, other adverse events
4 / 2015 / 20
serious
Total, serious adverse events
0 / 200 / 20

Outcome results

Primary

Area Under Plasma Concentration-time Curve From Time Zero to Last Sampling Time (Tlast) at Which the Concentration is at or Above the Lower Limit of Quantification (AUC0-t) of Total Dabigatran

AUC0-t was calculated according to the mixed log linear trapezoidal rule.

Time frame: Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 and 72 hours Post-dose on Day 1 and Day 8

Population: Pharmacokinetic (PK) analysis set: all participants who completed at least 1 period without any relevant protocol violations with respect to factors affecting comparability of PK results with adequate study drug compliance and evaluable dabigatran PK data. Here, Number of participants analyzed signifies those participants who were evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Dabigatran EtexilateArea Under Plasma Concentration-time Curve From Time Zero to Last Sampling Time (Tlast) at Which the Concentration is at or Above the Lower Limit of Quantification (AUC0-t) of Total Dabigatran461 nanogram*hour per milliliter (ng*h/mL)Geometric Coefficient of Variation 74.9
Tepotinib + DabigatranArea Under Plasma Concentration-time Curve From Time Zero to Last Sampling Time (Tlast) at Which the Concentration is at or Above the Lower Limit of Quantification (AUC0-t) of Total Dabigatran709 nanogram*hour per milliliter (ng*h/mL)Geometric Coefficient of Variation 64.6
90% CI: [127.35, 179.93]
Primary

Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of Total Dabigatran

AUC0-inf was calculated as AUC0-t plus (+) AUCextra. AUCextra represents the extrapolated part of AUC0-inf calculated by Clastpred/Lambda z, where Clastpred is the predicted plasma concentration at the last sampling time point, calculated from the log-linear regression line for Lambda z determination at which the measured plasma concentration is at or above Lower limit of quantification (LLOQ).

Time frame: Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 and 72 hours Post-dose on Day 1 and Day 8

Population: PK analysis set: all participants who completed at least 1 period without any relevant protocol violations with respect to factors affecting comparability of PK results with adequate study drug compliance and evaluable dabigatran PK data. Here, Number of participants analyzed signifies those participants who were evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Dabigatran EtexilateArea Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of Total Dabigatran544 ng*hr/mLGeometric Coefficient of Variation 32.8
Tepotinib + DabigatranArea Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of Total Dabigatran730 ng*hr/mLGeometric Coefficient of Variation 61.8
90% CI: [122.89, 170.39]
Primary

Maximum Observed Plasma Concentration (Cmax) of Total Dabigatran

Cmax was obtained directly from the concentration versus time curve.

Time frame: Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 and 72 hours Post-dose on Day 1 and Day 8

Population: PK analysis set: all participants who completed at least 1 period without any relevant protocol violations with respect to factors affecting comparability of PK results with adequate study drug compliance and evaluable dabigatran PK data. Here, Number of participants analyzed signifies those participants who were evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Dabigatran EtexilateMaximum Observed Plasma Concentration (Cmax) of Total Dabigatran54.5 Nanogram per milliliter (ng/mL)Geometric Coefficient of Variation 72.8
Tepotinib + DabigatranMaximum Observed Plasma Concentration (Cmax) of Total Dabigatran76.9 Nanogram per milliliter (ng/mL)Geometric Coefficient of Variation 61.8
90% CI: [121.59, 157.65]
Secondary

Apparent Clearance (CL/f) of Total Dabigatran

Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed.

Time frame: Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 and 72 hours Post-dose on Day 1 and Day 8

Population: PK analysis set: all participants who completed at least 1 period without any relevant protocol violations with respect to factors affecting comparability of PK results with adequate study drug compliance and evaluable dabigatran PK data. Here, Number of participants analyzed signifies those participants who were evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Dabigatran EtexilateApparent Clearance (CL/f) of Total Dabigatran138 Liter per hour (L/h)Geometric Coefficient of Variation 32.8
Tepotinib + DabigatranApparent Clearance (CL/f) of Total Dabigatran103 Liter per hour (L/h)Geometric Coefficient of Variation 61.8
Secondary

Apparent Volume of Distribution During Terminal Phase (Vz/f) of Total Dabigatran

Volume of distribution was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. Vz/f after oral dose was influenced by the fraction absorbed.

Time frame: Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 and 72 hours Post-dose on Day 1 and Day 8

Population: PK analysis set: all participants who completed at least 1 period without any relevant protocol violations with respect to factors affecting comparability of PK results with adequate study drug compliance and evaluable dabigatran PK data. Here, Number of participants analyzed signifies those participants who were evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Dabigatran EtexilateApparent Volume of Distribution During Terminal Phase (Vz/f) of Total Dabigatran1627 LiterGeometric Coefficient of Variation 34.7
Tepotinib + DabigatranApparent Volume of Distribution During Terminal Phase (Vz/f) of Total Dabigatran1157 LiterGeometric Coefficient of Variation 58.4
Secondary

Elimination Half Life (t1/2) of Total Dabigatran

Elimination Half Life (t1/2) was defined as the time required for the concentration or amount of drug in the body to be reduced by one-half.

Time frame: Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 and 72 hours Post-dose on Day 1 and Day 8

Population: PK analysis set: all participants who completed at least 1 period without any relevant protocol violations with respect to factors affecting comparability of PK results with adequate study drug compliance and evaluable dabigatran PK data. Here, Number of participants analyzed signifies those participants who were evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Dabigatran EtexilateElimination Half Life (t1/2) of Total Dabigatran8.18 HourGeometric Coefficient of Variation 12.9
Tepotinib + DabigatranElimination Half Life (t1/2) of Total Dabigatran7.81 HourGeometric Coefficient of Variation 13.5
Secondary

Number of Participants With Clinically Significant Changes in 12-lead Electrocardiogram (ECG) Findings

Number of participants with clinically significant change in 12-lead ECG were reported. Clinical significance was decided by the investigator. The 12-lead ECGs were recorded after the participant have rested for at least 5 minutes in supine position.

Time frame: Screening up to Day 4 in Period 1; Day 1 up to Day 15 in Period 2

Population: The safety analysis set included all participants who received at least 1 dose of the planned IMP.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Dabigatran EtexilateNumber of Participants With Clinically Significant Changes in 12-lead Electrocardiogram (ECG) Findings0 Participants
Tepotinib + DabigatranNumber of Participants With Clinically Significant Changes in 12-lead Electrocardiogram (ECG) Findings0 Participants
Secondary

Number of Participants With Clinically Significant Changes in Laboratory Values

Number of participants with clinically significant change in laboratory values were reported. Clinical significance was decided by the investigator. Laboratory investigation included hematology, biochemistry, virology, drugs of abuse, hormones, urinalysis, and coagulation.

Time frame: Screening up to Day 4 in Period 1; Day 1 up to Day 15 in Period 2

Population: The safety analysis set included all participants who received at least 1 dose of the planned IMP.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Dabigatran EtexilateNumber of Participants With Clinically Significant Changes in Laboratory Values0 Participants
Tepotinib + DabigatranNumber of Participants With Clinically Significant Changes in Laboratory Values0 Participants
Secondary

Number of Participants With Clinically Significant Changes in Vital Signs

Number of participants with clinically significant change in vital signs were reported. Clinical significance was decided by the investigator. Vital signs included body temperature, blood pressure, and pulse rate.

Time frame: Screening up to Day 4 in Period 1; Day 1 up to Day 15 in Period 2

Population: The safety analysis set included all participants who received at least 1 dose of the planned IMP.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Dabigatran EtexilateNumber of Participants With Clinically Significant Changes in Vital Signs0 Participants
Tepotinib + DabigatranNumber of Participants With Clinically Significant Changes in Vital Signs0 Participants
Secondary

Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs

Adverse event (AE) was defined as any untoward medical occurrence in participants which does not necessarily have causal relationship with treatment. AE was any unfavorable and unintended sign (including abnormal laboratory finding), symptom/disease temporally associated with use of medicinal product, whether/not considered related to medicinal product. A serious adverse event (SAE) was AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial/prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. TEAE is defined as AEs starting/worsening after first intake of the study drug. TEAEs included both serious TEAEs and non-serious TEAEs.

Time frame: Screening up to Day 4 in Period 1; Day 1 up to Day 15 in Period 2

Population: The safety analysis set included all participants who received at least 1 dose of the planned investigational medicinal product (IMP).

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Dabigatran EtexilateNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEsSerious TEAEs0 Participants
Dabigatran EtexilateNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEsTreatment-emergent Adverse Events (TEAEs)4 Participants
Tepotinib + DabigatranNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEsTreatment-emergent Adverse Events (TEAEs)15 Participants
Tepotinib + DabigatranNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEsSerious TEAEs0 Participants
Secondary

Percentage of Area Under the Plasma Concentration-Time Curve From Time Tlast Extrapolated to Infinity (AUC0-inf) Obtained by Extrapolation (AUCextra%) of Total Dabigatran

The AUC from time tlast extrapolated to infinity given as percentage of AUC0-inf. AUCextra% = (AUCextra /AUC0-inf)\*100.

Time frame: Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 and 72 hours Post-dose on Day 1 and Day 8

Population: PK analysis set: all participants who completed at least 1 period without any relevant protocol violations with respect to factors affecting comparability of PK results with adequate study drug compliance and evaluable dabigatran PK data. Here, Number of participants analyzed signifies those participants who were evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Dabigatran EtexilatePercentage of Area Under the Plasma Concentration-Time Curve From Time Tlast Extrapolated to Infinity (AUC0-inf) Obtained by Extrapolation (AUCextra%) of Total Dabigatran3.03216 percentage of AUC0-infGeometric Coefficient of Variation 55.1249
Tepotinib + DabigatranPercentage of Area Under the Plasma Concentration-Time Curve From Time Tlast Extrapolated to Infinity (AUC0-inf) Obtained by Extrapolation (AUCextra%) of Total Dabigatran2.3654 percentage of AUC0-infGeometric Coefficient of Variation 63.8621
Secondary

Time to Reach Maximum Plasma Concentration (Tmax) of Total Dabigatran

Tmax is time to reach maximum observed plasma concentration obtained directly from the concentration versus time curve.

Time frame: Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 and 72 hours Post-dose on Day 1 and Day 8

Population: PK analysis set: all participants who completed at least 1 period without any relevant protocol violations with respect to factors affecting comparability of PK results with adequate study drug compliance and evaluable dabigatran PK data. Here, Number of participants analyzed signifies those participants who were evaluable for this outcome measure.

ArmMeasureValue (MEDIAN)
Dabigatran EtexilateTime to Reach Maximum Plasma Concentration (Tmax) of Total Dabigatran3.00 Hour
Tepotinib + DabigatranTime to Reach Maximum Plasma Concentration (Tmax) of Total Dabigatran4.00 Hour
90% CI: [-0.3, 1]

Source: ClinicalTrials.gov · Data processed: Feb 9, 2026